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Hand, Foot, and Mouth Disease

(Vesicular Stomatitis With Exanthem)

Definition

Hand, foot, and mouth disease (HFMD) is a common illness in infants and children. It is characterized by fever, sores in the mouth, and a rash on the hands and feet. It occurs in warmer months. It is transmitted primarily between humans by direct contact with secretions from the nose and throat, saliva, fluid from blisters, or the feces of those who have HFMD.
Hand, Foot, and Mouth Disease
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Causes

HFMD is caused by a virus from a group of viruses called enteroviruses.

Risk Factors

HFMD is more common in chlidren under 10 years of age.
Contact with someone who is infected with HFMD increases your risk of getting HFMD.

Symptoms

Diagnosis

You will be asked about your symptoms and medical history. A physical exam will be done.
Your bodily fluids and waste products may need to be tested. This can be done with:

Treatment

There is no specific treatment for HFMD. Treatment is focused on relieving fever, aches, and pain associated with the illness. Medications may be given to help relieve the pain related to the sores in the mouth.

Prevention

To help reduce the risk of HFMD:

RESOURCES

National Institute of Allergy and Infectious Diseases http://www.niaid.nih.gov

US Centers for Disease Control and Prevention http://www.cdc.gov

CANADIAN RESOURCES

Canadian Pediatric Society http://www.cps.ca

Public Health Agency of Canada http://www.phac-aspc.gc.ca

References

Hand-foot-and-mouth disease. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 3, 2014. Accessed November 3, 2014.

Hand, foot, and mouth disease. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/hand-foot-mouth/index.html. Updated August 19, 2013. Accessed November 3, 2014.

6/24/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Fang Y, Wang S, et al. Risk factors of severe hand, foot and mouth disease: A meta-analysis. Scand J Infect Dis. 2014;46(7):515-522.

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